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Contact Information

ILLINOIS CHILDREN & FAMILY DEVELOPMENT CENTER LLC
47 W POLK ST STE 100-240
CHICAGO, IL60605-2000
 Phone: 708-971-0966
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for ILLINOIS CHILDREN & FAMILY DEVELOPMENT CENTER LLC

NPI # 1013590793
LBN Legal business name ILLINOIS CHILDREN & FAMILY DEVELOPMENT CENTER LLC
Authorized official TIMEICA BETHEL - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/30/2021
Last updated 04/30/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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